Provider Demographics
NPI:1891819918
Name:ACCESS COUNSELING, LLC
Entity Type:Organization
Organization Name:ACCESS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-342-2860
Mailing Address - Street 1:4020 W GOELLER BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-8273
Mailing Address - Country:US
Mailing Address - Phone:812-342-2860
Mailing Address - Fax:812-342-2849
Practice Address - Street 1:4020 W GOELLER BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-8273
Practice Address - Country:US
Practice Address - Phone:812-342-2860
Practice Address - Fax:812-342-2849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN235180Medicare ID - Type Unspecified